


33 Years of Ethical Clinical Practice with Humane Touch
Kshema Pediatrix is an exclusive centre for Pediatric Super-specialists offering state of the art professional healthcare in an ethical manner with a humane touch.
The team is headed by Dr. Ramesh Santhanakrishnan, senior Pediatric Surgeon with nearly 33 years of clinical Practice in Bangalore. Kshema has been offering such services in the field of Pediatric Surgery since 1996. We relentlessly pursue our passion for excellence.
Kshema Pediatrix - An Overview by Founder
Compassionate pediatric healthcare services focused on ethical treatment, advanced medical expertise, and child-friendly care.
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Why A Pediatric
Surgeon?
Discover advanced pediatric speciality services with humane treatment, experienced doctors, and patient-focused healthcare.
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Why A Pediatric
Specialist?
Specialized pediatric surgical care delivered with precision, ethics, compassion, and decades of trusted medical experience.
▶ Watch VideoPediatric Surgery & Pediatric Urology Services in Basavanagudi
Welcome to Basavanagudi’s specialised centre for pediatric surgery and paediatric urology. We provide subspecialised surgical care for newborns, infants, children, and adolescents. Combining advanced pediatric minimally invasive surgery (laparoscopy) and pediatric robotic surgery with gentle, child-centric care, our clinic ensures minimal pain, lower infection risks, virtually scarless outcomes, and fast home recovery.
Whether your child requires elective reconstructive urology (e.g., hypospadias repair, orchidopexy, pyeloplasty) or urgent interventions (e.g., testicular torsion, acute appendicitis, foreign body ingestion), our clinic near Bull Temple Road provides expert care.
Pediatric Urology & Genital Reconstructive Surgery
Children’s urinary and reproductive tracts require specialized pediatric urological care rather than adult urology techniques. We treat congenital anomalies and acquired conditions using micro-surgical and laparoscopic approaches.
Kidney & Ureter
- PUJ Obstruction
- Hydronephrosis
- Vesicoureteric Reflux
- Ureteric Re-implantation
- Ureterocele
Penile & Genital Reconstructions
- Hypospadias Repair & Chordee
- Phimosis & BXO (Circumcision)
- Undescended Testis (Orchidopexy)
- Congenital & Encysted Hydrocele
- Inguinal Hernia
Kidney, Ureter & Bladder Conditions
PUJ Obstruction & Hydronephrosis in Children: Pelvi-ureteric junction (PUJ) obstruction blocks urine flow from the kidney. We perform laparoscopic and robotic pyeloplasty to relieve blockages and protect renal function.
Vesicoureteric Reflux (VUR) & Ureterocele: Vesico ureteric reflux in children causes urine to flow backward into the kidneys, leading to urinary tract infections (UTIs). Treatment includes endoscopic injection therapy or surgical ureteric re-implantation.
Diagnostic Urology: Diagnostic cystoscopy in children provides clear visualisation of lower urinary tract anomalies.
Penile, Testicular & Scrotal Surgery
Hypospadias & Chordee in Children: Hypospadias is a congenital condition where the urethral opening is on the underside of the penis, often accompanied by penile curvature (chordee). We perform single-stage or two-stage surgical urethroplasty reconstruction.
Undescended Testis (Cryptorchidism): Surgical repositioning (orchidopexy in children) moves an undescended testicle into the scrotum to preserve fertility and reduce long-term risks.
Hydrocele & Inguinal Hernia in Children: High ligation repair for congenital hydrocele, encysted hydrocele, and inguinal hernia in children.
Phimosis, Balanoposthitis, & BXO: We treat tight foreskin (phimosis), foreskin inflammation (balanoposthitis), and balanitis xerotica obliterans (BXO) with medical care or pediatric circumcision.
Complex Genital & Emergency Conditions: Immediate surgical detorsion for testicular torsion in children (a medical emergency), alongside multidisciplinary care for Differences of Sex Development (DSD) / ambiguous genitalia in children.
Pediatric Minimally Invasive & Robotic Surgery
Our facility emphasizes pediatric minimally invasive surgery (keyhole surgery) to minimize physical and psychological trauma for your child.
Tiny Incisions
3mm–5mm
Minimal Pain
& Scarring
Same-Day Home
Discharge
Pediatric Laparoscopy
Minimally invasive techniques for non-palpable undescended testes, appendicitis in children, and diagnostic abdominal explorations.
Pediatric Minimal Access Surgery
Specialized, tiny 3mm to 5mm instruments tailored specifically for infant and child anatomy.
Pediatric Robotic Surgery
Advanced robotic-assisted surgery offering 3D visualization and high precision for complex reconstructive procedures such as laparoscopic pyeloplasty and ureteric re-implantation.
General Pediatric Surgery, Cysts & Emergency Services
We provide comprehensive surgical management for general pediatric surgical conditions, congenital cysts, and foreign body emergencies:
Abdominal & Gastrointestinal Surgery: Advanced surgical treatment for appendicitis in children, choledochal cyst in children, umbilical hernia in children, and congenital anorectal malformation in children (ARM).
Head, Neck & Soft Tissue Cysts: Excision of congenital neck masses, including thyroglossal cyst in children, lymphangioma in children, and hemangioma in children.
Emergency Foreign Body Removal: 24/7 care for foreign body ingestion in children, tracheal foreign body, and airway foreign body extractions using endoscopic and bronchoscopic techniques.
Trauma & Aesthetic Wound Care: Emergency evaluation for cuts and wounds with child-friendly suturing techniques to promote healing and reduce scarring.
Comparison: Traditional Open Surgery vs. Pediatric Laparoscopy
| Evaluation Parameter | Traditional Open Surgery | Advanced Pediatric Laparoscopy / Robotic Surgery |
| Incision Size | Large surgical incision (3 cm – 8 cm) | Tiny keyhole incisions (3 mm – 5 mm) |
| Post-Operative Pain | Moderate to high pain requiring oral analgesics | Minimal discomfort, reduced need for pain medication |
| Hospital Stay | 3 to 5 Days | Day-care procedure or 24-hour discharge |
| Cosmetic Recovery | Visible surgical scars | Virtually invisible, hidden scars |
| Infection Risk | Higher risk due to open exposure | Lower risk with sterile minimal access |
Age-Wise Treatment Guide for Parents
| Age Group | Common Surgical Conditions | Recommended Intervention Window | Preferred Surgical Approach |
| Newborns (0–3 Months) | Antenatal Hydronephrosis, Anorectal Malformation, Umbilical Hernia | Immediate evaluation to 4 weeks | Specialized Neonatal Surgery / Laparoscopy |
| Infants (6–18 Months) | Hypospadias, Undescended Testis, PUJ Obstruction | 6 to 18 Months (Ideal corrective window) | TIP Urethroplasty, Orchidopexy, Pyeloplasty |
| Toddlers (1–5 Years) | Inguinal Hernia, Hydrocele, VUR, Phimosis/BXO | Upon clinical diagnosis or symptom onset | Day-Care Minimal Access Repair / Re-implantation |
| Children (5+ Years) | Appendicitis, Foreign Body Ingestion, Testicular Torsion | Immediate Emergency Intervention (< 6 hours for Torsion) | Emergency Laparoscopy, Endoscopy, Detorsion |
Dr. Ramesh Santhanakrishnan
Director & Chief Pediatric Surgeon
Dr. Ramesh Santhanakrishnan is a highly experienced pediatric surgeon with more than 33 years of expertise. He is a pioneer in pediatric minimal access surgery and was at the forefront of establishing pediatric minimally invasive surgery in the country. He has conducted several national and international workshops, trained more than 300 pediatric surgeons, and served as an invited speaker and operating faculty at scientific meetings and live operative workshops.
Our Medical Team
Meet Our Specialist Doctors
Ms. Anupama Ramesh
Child Psychologist
Dr. Vinupriya D
Pediatric Surgical Oncologist
Dr. Soumyashree Narayan
Child & Adolescent Psychiatrist
Dr. Vandana Bharadwaj
Pediatric Hematologist & Oncologist
Dr. Sanjeev G N
Pediatric Geneticist
Dr. Shruthi Badarinath Pranav
Pediatric Gastroenterologist
Dr. Sameer Holageri
Pediatric Plastic Surgeon
Dr. Rudraprasad
Pediatric Orthopedic Surgeon
Dr. Rekha Bathala
Pediatric Endocrinologist
Dr. Ravneet Chhabra
Pediatric Surgeon
Dr. Prem Kumar
Pediatric ENT Surgeon
Dr. Rashmi Agarwal
Pediatric Dermatologist
Dr. Prashantha Kesari
Pediatric Plastic Surgeon
Dr. Pradeep Kumar N
Pediatric Plastic & Reconstructive Surgeon
Dr. Nagendra Kumar
Pediatric Gastro & Hepatologist
Dr. Nagalatha Chidananda
Lactation Consultant
Dr. Mohammad Yaqub
Pediatric Orthopedic Surgeon
Dr. Manmeet Chhabrra
Pediatric Neuro Surgeon
Dr. Kalyan
Pediatric Cardiologist
Dr. Jayaranganath
Senior Pediatric Cardiologist
Dr. Rajeshwari M
Pediatric Nephrologist
Dr. Chandrika Rao
Adolescent Pediatrician
Dr. Chandana KPS
Developmental Pediatrician
Dr. Viveka Santosh Reddy
Pediatric Neurologist
Dr. Abhishek S Bhasme
Pediatric Orthopedic Surgeon
Dr. Anand Rao
Pediatric Rheumatologist
Pediatric Surgery & Urology in Basavanagudi
Find answers to common questions about pediatric surgery, pediatric urology, minimally invasive surgery, congenital conditions, and post-operative care.
The ideal window for hypospadias repair is between 6 and 18 months of age. Performing surgery before 18 months minimizes psychological awareness, reduces catheter discomfort during infancy, and allows the urethra to heal naturally as the child grows.
Parents can also discuss their child's overall developmental health with an experienced pediatrician in Bangalore alongside specialist pediatric surgical care.
Yes. Pediatric laparoscopy uses specialized 3 mm to 5 mm micro-instruments tailored for small body cavities. It offers significant advantages over open surgery, including reduced post-operative pain, minimal tissue trauma, hidden scars, and same-day or 24-hour hospital discharge.
Young infants may also require coordinated pediatric care before and after surgery. Parents can consult a pediatrician in Bangalore for broader child-health assessment when required.
An undescended testis has failed to complete its natural move into the scrotum and cannot be pulled down manually without tension. A retractile testis has descended fully but temporarily pulls up into the groin due to an overactive muscle reflex.
Retractile testicles generally resolve on their own, whereas true undescended testes require an orchidopexy.
If left untreated, a testicle residing in the warm groin or abdomen suffers cellular damage from high body heat, which can lead to impaired fertility and a higher long-term risk of testicular tumors.
Surgery (orchidopexy) brings the testicle into the scrotum to preserve healthy function.
Testicular torsion occurs when the spermatic cord twists, cutting off blood supply to the testicle. Symptoms include sudden, severe scrotal pain, swelling, redness, and vomiting.
It is a surgical emergency requiring emergency detorsion within 6 hours to prevent permanent loss of the testicle.
Often resolves on its own as abdominal wall muscles strengthen during the first 3 to 4 years of life.
Will never close naturally in children. Because of the risk of incarceration (trapped intestine or tissue), an inguinal hernia requires surgical repair upon diagnosis.
Pelvi-Ureteric Junction (PUJ) obstruction is typically detected via routine fetal ultrasound (antenatal hydronephrosis) or post-birth scans showing kidney swelling.
Treatment involves a procedure called pyeloplasty, performed laparoscopically or robotically, which removes the blocked section and reattaches the ureter to allow normal urine drainage.
Vesicoureteral Reflux (VUR) is a condition where urine flows backward from the bladder into the kidneys, increasing the risk of severe kidney infections (pyelonephritis).
Depending on the grade, management ranges from long-term low-dose antibiotic prophylaxis to minimally invasive endoscopic injections or surgical ureteric re-implantation.
Physiological tight foreskin (phimosis) is completely normal in infants and young boys.
Treatment with medical ointment or pediatric circumcision is generally considered when the child experiences painful urination, recurrent ballooning of the foreskin, severe inflammation (balanoposthitis), or scarring from Balanitis Xerotica Obliterans (BXO).
If the object is smooth and small, such as a coin, it may pass through the digestive tract. Immediate emergency assessment is required for a button battery, multiple magnets, sharp object, or if the child develops drooling, vomiting, pain, or difficulty swallowing.
If the child experiences sudden choking, persistent wheezing, stridor, or breathing difficulty, seek emergency medical attention immediately for appropriate airway assessment and possible endoscopic retrieval.
Children with suspected ear, nose, throat, or airway-related foreign bodies may require assessment by a pediatric ENT surgeon .
A choledochal cyst is a congenital malformation causing cystic dilation of the bile ducts. It may cause abdominal pain, jaundice, or recurrent pancreatitis.
Complete surgical excision of the cyst with biliary reconstruction (Roux-en-Y hepaticojejunostomy) may be required to restore normal bile drainage and reduce long-term complications.
Both conditions can cause swelling in the groin or scrotum.
A congenital hydrocele contains fluid and may change size throughout the day. An inguinal hernia can contain intestinal loops or abdominal tissue and may bulge more noticeably when the child cries, coughs, or strains.
Most children recover rapidly after laparoscopic or minimal access procedures. Pain is usually mild and manageable with prescribed pediatric pain medication during the initial recovery period.
Depending on the procedure and the child's condition, many children gradually return to normal indoor activity within a few days, while return to school and strenuous physical activity should follow the operating surgeon's advice.
Our Basavanagudi facility provides comprehensive outpatient evaluations, second opinions, diagnostic workups, minor day-care procedures, and specialized pre-operative and post-operative pediatric surgical care.
Families who require broader child-health support can also consult our pediatrician in Bangalore . For feeding and breastfeeding-related concerns involving newborns and infants, support is also available through our lactation consultant .
The clinic is conveniently accessible from areas around Bull Temple Road, Gandhi Bazaar, Basavanagudi, and surrounding South Bangalore localities.
Kshema Pediatrix | Pediatric Surgeon in Bangalore | Pediatric Surgery 231 Google reviewsPosted on Google Sandesh S KutnikarTrustindex verifies that the original source of the review is Google. Had a pleasant experience with Dr Ramesh.Posted on Google Deepika SrinivasanTrustindex verifies that the original source of the review is Google. I am writing this review to express my deepest gratitude to Dr. Ramesh S for the exceptional care and surgical expertise he provided during my daughter’s recent operation. From our initial consultation through to her post-operative recovery, Dr. Ramesh was incredibly professional, compassionate, and attentive to every detail. He took the time to explain the procedure clearly, which immediately put us at ease and gave me full confidence in his care for my daughter. His surgical skill is truly commendable, and we are very pleased with the successful outcome of the surgery. I felt that both my daughter and I were well-supported and heard throughout the entire process. I highly recommend Dr. Ramesh S to anyone seeking a skilled, dedicated, and empathetic surgeon.Posted on Google Abu Bakar (Abu)Trustindex verifies that the original source of the review is Google. Very friendly doctor, highly recommendedPosted on Google Anil MishraTrustindex verifies that the original source of the review is Google. Dr. Ramesh performed surgery on our son when he was just eight months old, and we have been incredibly satisfied with his approach. Beyond his surgical expertise, he provided tremendous support that helped us overcome our anxiety as parents. We have continued to consult with Dr. Ramesh regularly as our son grows, and we remain fully satisfied with both his care and the services provided by his clinic.Posted on Google Richard PradeepTrustindex verifies that the original source of the review is Google. Our experience with Kshema Pediatrix has been nothing short of exceptional. From the moment we walked in, we felt reassured that our child was in the best possible hands. A special note of appreciation for Dr. Ramesh, Pediatric Surgeon, whose expertise, depth of knowledge, and attention to detail are truly remarkable. What impressed us the most was not only his clinical excellence but also the way he interacts with children and parents. He takes the time to listen, explain every concern patiently, and makes both the child and family feel comfortable and confident throughout the treatment journey. The entire team at Kshema Pediatrix deserves recognition. The receptionist madam is always welcoming, courteous, and helpful. A heartfelt thanks to Vasanth Sir, who went above and beyond in assisting us with every query and ensuring a smooth experience from start to finish. One of the biggest strengths of Kshema Pediatrix is that it brings together some of the best pediatric specialists in Bangalore under one roof. Whether it's a routine consultation or a specialized pediatric treatment, you can be confident that your child is receiving expert care. Another thing we absolutely loved is the child-friendly environment. It doesn't feel like a clinic at all—it feels more like a play area designed especially for kids. This makes children feel relaxed, comfortable, and less anxious, which is incredibly important when visiting a healthcare facility. Thank you to Dr. Ramesh and the entire Kshema Pediatrix team for your dedication, compassion, and outstanding care. We highly recommend Kshema Pediatrix to any parent looking for world-class pediatric care in Bangalore.Posted on Google MAHUA SARKARTrustindex verifies that the original source of the review is Google. Dr. S. Ramesh is a God in Earth for us. We are from West Bengal, My baby Niharika Das, now of 5 years 6 months was under him for about 1and half year suffering from VUR, where different doctors suggested surgery but Sir treated her all with his care and experience and only with medicine and homecare she got cured. Today we are very relaxed that she is totally cured. Lots of thanks to the heavenly God and the God in Earth (Dr. Ramesh). Thank you so much Sir..... Shata koti pranam 🙏Posted on Google Amulya SudhakaraTrustindex verifies that the original source of the review is Google. Thank you so much, Dr. Ramesh, for your exceptional care and support. My 2-month-old son had an inguinal hernia and needed surgery, which was a very stressful time for our family. Your guidance, reassurance, and expertise throughout the entire process gave us confidence and peace of mind. We are grateful that the surgery was successful and that our son is doing well. Thank you for your kindness, support, and dedication. We truly appreciate everything you have done for us." 🙏💙Posted on Google abhiram photographyTrustindex verifies that the original source of the review is Google. Excellent doctorPosted on Google Madhukar rTrustindex verifies that the original source of the review is Google. Awesome doctor..Posted on Google sunil cTrustindex verifies that the original source of the review is Google. We are extremely grateful to the doctor for the successful foreskin related procedure for our son. The doctor explained every step of the process in detail, addressed all our concerns patiently, and ensured we were well informed throughout. His professionalism, care, and attention gave us great confidence and peace of mind. Thank you for the excellent treatment and support doctor... Highly recommend Doctor... !!!